420 DEAN DRIVE GARDENDALE, AL 35071 · 2056318709 · Jefferson County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.
CMS Star Ratings
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Facility Facts
Certified beds148
OwnershipFor profit - Corporation
State rank#193
By the numbers
43
Health citations (3 cycles)
19
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$392,125
Federal fines (CMPs)
The trend: Citations are rising — 18 in the most recent cycle versus 5 two cycles ago.
Recent Health Citations
Jun 5, 2025 · Health survey · F-tag 0867
J — Immediate jeopardy
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0757
J — Immediate jeopardy
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0740
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0725
J — Immediate jeopardy
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0694
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0658
J — Immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0645
J — Immediate jeopardy
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0610
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0609
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0600
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0580
J — Immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0760
K — Immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0841
L — Immediate jeopardy
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Details
Correction status: Corrected Aug 14, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0837
L — Immediate jeopardy
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 5, 2025 · Health survey · F-tag 0835
L — Immediate jeopardy
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has plan of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Mar 19, 2025 · Health survey · F-tag 0851
C — Cited
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Mar 19, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 19, 2025 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 19, 2025 · Health survey · F-tag 0645
D — No actual harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Mar 19, 2025 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.
Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.
